The Dietitian Doctor, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE DIETITIAN DOCTOR, LLC

Practice address

305 E Main St
Cabot, AR 72023-3034

Phone

(501) 605-0310

Fax

(501) 605-0325

NPI assigned

Nov 27, 2023

Last updated

Apr 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kindann McMahan Stone Fawcett, PHD, RD, LDNPI 1588302327

Title

Ceo/Owner

Phone

(501) 605-0310

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kindann McMahan Stone Fawcett, PH.D., RD, LD

  • Registered Dietitian
  • Cabot, AR
  • NPI 1588302327
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1235905845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "AUSTIN",
            "state": "AR",
            "postal_code": "720070100",
            "telephone_number": "501-605-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233034",
            "telephone_number": "501-605-0310",
            "fax_number": "501-605-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIETITIAN DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "KINDANN",
        "authorized_official_middle_name": "MCMAHAN STONE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "501-605-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Taylor, LPC
• Rebecca Taylor
• Thomas Taylor, PHARMD.
• Joanne Terry, QBHP
• Morgan Teston, SLP
• The Pediatric Clinic of NLR, P.a. (The Pediatric Clinic)
• Brenda Lee Thielemier, DC
• Emma Michelle Thompson
• Lynnae Thompson, RN
• Morgan Nicole Tilghman

• Registered Dietitian in Cabot, AR
• Providers in Cabot, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.